Evidence map›Paper›PMID 30540791›Full record

ArticlePloS one2018

Computerization and the future of primary care: A survey of general practitioners in the UK.

Charlotte Blease, Michael H Bernstein, Jens Gaab, Ted J Kaptchuk, Joe Kossowsky, Kenneth D Mandl, Roger B Davis, Catherine M DesRoches

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 94 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 3 countries.

Charlotte BleaseGeneral Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States of America.ORCID 0000-0003-3657-2476
Michael H BernsteinSchool of Public Health, Brown University, Providence, Rhode Island, United States of America.
Jens GaabDivision of Clinical Psychology and Psychotherapy, University of Basel, Basel, Switzerland.
Ted J KaptchukGeneral Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States of America.
Joe KossowskyDivision of Clinical Psychology and Psychotherapy, University of Basel, Basel, Switzerland.
Kenneth D MandlComputational Health Informatics Program, Boston Children's Hospital, Harvard Medical School, Boston, United States of America.
Roger B DavisGeneral Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States of America.
Catherine M DesRochesGeneral Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States of America.
Beth Israel Deaconess Medical Center · USBoston Children's Hospital · USBoston University · USBrown University · USUniversity College Dublin · IEUniversity of Basel · CH

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
Substance Abuse Intervention/Outcome Research TrainingT32DA016184 · NIDA · BROWN UNIVERSITY · PI Damaris J. Rohsenow, JENNIFER W. TIDEY · 2003 to 2026
$6.1M
NCATS NIH HHS UL1 TR001102NCATS NIH HHS UL1 TR002541NIDA NIH HHS T32 DA016184
6 · The paper itself

Abstract

objectiveTo describe the opinions of British general practitioners regarding the potential of future technology to replace key tasks carried out in primary care.

designCross sectional online survey.

participants1,474 registered GPs in the United Kingdom.

main outcome measuresInvestigators measured GPs' opinions about the likelihood that future technology will be able to fully replace-not merely aid-the average GP in performing six primary care tasks; in addition, if GPs considered replacement for a particular task likely, the survey measured opinions about how many years from now this technological capacity might emerge.

resultsA total of 720 (49%) responded to the survey. Most GPs believed it unlikely that technology will ever be able to fully replace physicians when it comes to diagnosing patients (489, 68%), referring patients to other specialists (444, 61%), formulating personalized treatment plans (441, 61%), and delivering empathic care (680, 94%). GPs were not in agreement about prognostics: one in two participants (380, 53%) considered it likely that technology will be fully capable of replacing physicians in performing this task, nearly half (187, 49%) of whom believed that the technological capacity will arise in the next ten years. Against these findings, the majority of GPs (578, 80%) believed it likely that future technology will be able to fully replace humans to undertake documentation; among them 261 (79%) estimated that the technological wherewithal would emerge during the next ten years. In general, age and gender were not correlated with opinions; nor was reported burnout and job satisfaction or whether GPs worked full time or part time.

conclusionsThe majority of UK GPs in this survey were skeptical about the potential for future technology to perform most primary care tasks as well as or better than humans. However, respondents were optimistic that in the near future technology would have the capacity to fully replace GPs' in undertaking administrative duties related to patient documentation.

Indexed as

Medical Records Systems, ComputerizedAdultAgedAttitude of Health PersonnelCross-Sectional StudiesFemaleGeneral PractitionersHumansMaleMiddle AgedPrimary Health CareReferral and ConsultationSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID30540791
PMCPMC6291067
OpenAlexW2905546739

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.